Active NPI
Dong S Kim, L.AC
- Acupuncturist
- Valencia, CA
National Provider Identifier
1003006826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- L.AC10880
- Practice address
- 23300 Cinema Dr Ste 240
Valencia, CA 91355-1776 - Phone
- (661) 753-7911
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | L.AC10880 | CA | Primary |
Addresses
Primary practice location
23300 Cinema Dr Ste 240
Valencia, CA 91355-1776
Mailing address
23300 Cinema Dr Ste 240
Valencia, CA 91355-1776
Phone (661) 753-7911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.AC10880 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227571200000",
"number": "1003006826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23300 CINEMA DR STE 240",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551776",
"telephone_number": "661-753-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23300 CINEMA DR STE 240",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551776",
"telephone_number": "661-753-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DONG",
"middle_name": "S",
"name_prefix": "Prof.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2008-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "L.AC10880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.